EZEQUIEL ADONY ANDRADE MD
NPI 1689296576
Family Medicine - Geriatric Medicine in Harbor City, CA

Q: What is Ezequiel Andrade's NPI number?

The NPI number for Ezequiel Andrade is 1689296576. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Q: What is Ezequiel Andrade's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Ezequiel Andrade was last updated on February 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2020PECOS Enrolled

1403 LOMITA BLVD STE 102, HARBOR CITY, CA 90710(424) 306-4000 Get Directions Write a Review

NPPES record last updated: February 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2023, May 13, 2020 (2 updates tracked since 2020).

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About Ezequiel Adony Andrade Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZEQUIEL ADONY ANDRADE MD (NPI 1689296576) is an individual geriatric medicine provider in Harbor City, California, licensed in California (A181210) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (2020).

NPPES Registry Identity

NPI1689296576

Entity TypeIndividualMale

Primary Taxonomy207QG0300X

Provider Legal NameEZEQUIEL ADONY ANDRADECredential: MD

Location Address1403 LOMITA BLVD STE 102Harbor City, CA 90710-2084

Mailing Address1403 Lomita Blvd Ste 200Harbor City, CA 90710-2086 · (424) 306-6500

Phone(424) 306-4000

Sole ProprietorYes

Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2020

Enumeration DateMay 13, 2020

Last NPPES UpdateFebruary 18, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2024

✔ NPI 1689296576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in CA · A181210

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X · License A181210 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1403 LOMITA BLVD STE 102, Harbor City, CA 90710

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ezequiel Adony Andrade Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224562921

PECOS Enrollment IDI20241115003863

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ezequiel Andrade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles

9.3 mi

Clinic/Center

1670 E 120TH ST
Los Angeles, CA 90059

Reassigned Medicare billing, California enrollment
435 clinicians in this Medicare group

NPI 1780877613 (310) 668-5201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNNEA WILSON MORM

Family Medicine